Organization Active NPI

Suburban Internal Medicine Services

  • Internal Medicine Physician
  • Warrensville HTS, OH
National Provider Identifier
1720095870
Registry record updated Feb 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SUBURBAN INTERNAL MEDICINE SERVICES
Practice address
4180 Warrensville Center Rd
Warrensville HTS, OH 44122
Phone
(216) 491-7380
NPI assigned
Aug 2, 2006
Last updated
Feb 18, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Arun Gupta, MD
Title
Director
Phone
(216) 441-3454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

4180 Warrensville Center Rd
Warrensville HTS, OH 44122

Mailing address

7500 Old Oak Blvd
Cleveland, OH 44130-3343
Phone (440) 777-6300

Other identifiers 1

IdentifierTypeStateIssuer
0722043MedicaidOH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234915200000",
    "number": "1720095870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 OLD OAK BLVD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441303343",
            "telephone_number": "440-777-6300",
            "fax_number": "440-777-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4180 WARRENSVILLE CENTER RD",
            "city": "WARRENSVILLE HTS",
            "state": "OH",
            "postal_code": "44122",
            "telephone_number": "216-491-7380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN INTERNAL MEDICINE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2009-02-18",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "ARUN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "216-441-3454",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0722043",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrensville HTS, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.